CONNECTICUT TAX COLLECTORS’
ASSOCIATION, INC.
ANNUAL DUES MEMBERSHIP INVOICE – 2007
PLEASE REMIT PAYMENT BY MARCH 1,
2007
(DUES NOT REC’D. BY MARCH 1 WILL RESULT IN REMOVAL FROM CTX ROSTER)
Make checks payable to:
Connecticut Tax Collectors’ Association, Inc.
Please duplicate this form as necessary for others in your office or
organization.
Please mail remittance with this completed form to:
Maeci Evans, CCMC, Assistant
Treasurer
C/o Fairfield Tax
Collector’s Office
611 Old Post Road, Fairfield, CT 06824
Phone: (203) 256-3103 Fax#: (203) 254-4803
mevans@town.fairfield.ct.us
Schedule of Dues: Tax
Collector: $ 75 – or - Assistants, Deputies and Staff: $ 50
Retired Members: $5.00 (Voluntary Contribution to remain on CTx mailing lists)
Regular membership is open to all public officials in the State of Connecticut who are engaged in the administration of property tax collections, all Certified Connecticut Municipal Collectors, all non-certified Collectors, all collection staff and such other persons as may be approved by the Board of Directors of the Association.
MEMBER NAME:
______________________________________ TOWN CODE: _ _ _
TITLE:
________________________________________ CCMC? Circle YES OR NO
EMPLOYER (TOWN OR CITY, COMPANY
OR FIRM): __________________________________
STREET ADDRESS:
________________________________________ P O BOX# :_________
CITY, STATE, ZIP CODE:
________________________________________________________
OFFICE PHONE NUMBER: _____________________ FAX NUMBER:
____________________
HOURS OF OPERATION:
_______________________________________________________
E-MAIL ADDRESS:
___________________________________ COUNTY: _ญญ______________
SOFTWARE VENDOR:
_________________________________________________________
ORIGINAL EMPLOYMENT DATE OF TAX/REVENUE COLLECTION WORK: ________________